Van Dyke and Bacon Inc.

NPI #1023164860 in Baltimore, Maryland

Provider Information

NPI Number: 1023164860
Entity Type: Organization
Organization Name: Van Dyke and Bacon Inc.
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Jan 26, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5919 YORK RD
Address 2: SUITEB
City: Baltimore
State: Maryland
ZIP Code: 21212-3027
Phone: (410) 433-1100

Authorized Official

Name: MR. MARTIN JOSEPH BACON, C.PED
Title: VP
Phone: (410) 433-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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